SPG Webinar: Improving Anterior Aesthetics

Presenters: Dr Ben Lee & Dr Johnson Chou Very often, aesthetic improvement is the primary driving force behind the initial dental attendance. Certainly most patients presented to our practice today would request their teeth (anterior and often posterior) to look more aesthetically pleasing. Most of the times we need to match to their existing dentition/restoration and sometimes we have to start from scratch. But what determines aesthetics and what is considered aesthetically pleasing can be a debatable question. Is aesthetics always subjective (i.e. beauty lies in the eyes of the beholder) or are there objective criteria that we could follow? This presentation aims to cover a wide range of important aspects of aesthetic treatment with view to improve patient satisfaction in the most predictable manner. Topics covered include: Aesthetic overview – What is aesthetics? What or who determines aesthetics? Aesthetic treatment planning – How is this different to traditional treatment planning? What are all our options for smile design? Is DSD always the best option? What are the 14 objective criteria that determine dental aesthetics? Teeth whitening – external vs. internal How to improve composite shade selection? How to construct a customised composite shade guide? How to carry out single layer vs. multi-layer anterior composites? How to close diastema or increase incisal length predictably? Is provisionalisation important in aesthetic dentistry? Which ceramic should you use? How much discolouration can all ceramic restorations mask? How to improve photography (i.e. lab communication) using polarised lens and white balance cards? What is the best polisher to use for composites and ceramics? Timestamps: 0:00 - Start 3:08 - Topic introduction 9:50 - Aesthetic treatment planning 14:40 - Visualised outcome treatment planning 26:22 - Objective criteria for aesthetics 32:40 - External teeth whitening 36:48 - Internal teeth whitening 38:45 - Direct composite resin 54:11 - Indirect composite resin 1:02:45 - Single shade vs multi-shade composite resin 1:12:02 - Aesthetic provisionalisation 1:14:39 - Dental ceramics 1:34:00 - Dental digital photography 1:40:41 - Q&A